Provider Demographics
NPI:1114357688
Name:SINGARELLA, DANA ROSE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:ROSE
Last Name:SINGARELLA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 BERLIN AVE
Mailing Address - Street 2:UNIT 9
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-3265
Mailing Address - Country:US
Mailing Address - Phone:860-302-6223
Mailing Address - Fax:
Practice Address - Street 1:245 BERLIN AVE
Practice Address - Street 2:UNIT 9
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3265
Practice Address - Country:US
Practice Address - Phone:860-302-6223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-20
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist